Evidence map›Paper›PMID 32088538›Full record

ArticleChild abuse & neglect2020

Mixed method study of workforce turnover and evidence-based treatment implementation in community behavioral health care settings.

Amy D Herschell, David J Kolko, Jonathan A Hart, Laurel A Brabson, James G Gavin

Open access · greenAbstract read
In one paragraph

Article in Child abuse & neglect, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

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  8. Model of Organizational Commitment Applied to Health Management Systems.International journal of environmental research and public health · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Amy D HerschellUniversity of Pittsburgh School of Medicine; Community Care Behavioral Health Organization, UPMC Insurance Services Division.
David J KolkoUniversity of Pittsburgh School of Medicine.
Jonathan A HartUniversity of Pittsburgh Medical Center.
Laurel A BrabsonWest Virginia University.
James G GavinCommunity Care Behavioral Health Organization, UPMC Insurance Services Division.
Community Care · USUniversity of Pittsburgh · USUniversity of Pittsburgh Medical Center · USWest Virginia University · US

Funding

Primary care prevention of stimulant diversion by high school students with ADHDU01DA040213 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOLINA, BROOKE S.G. · 2015 to 2019
$3.5M
A Statewide Trial to Compare Three Training Models for Implementing an EBTR01MH095750 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HERSCHELL, AMY D · 2012 to 2016
$3.3M
Treatment of Child Physical Abuse: Effectiveness TrialR01MH074737 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOLKO, DAVID · 2006 to 2010
$2.9M
Implementing an Evidence-Based Treatment for Child AbuseK23MH074716 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HERSCHELL, AMY D · 2007 to 2011
$703k
NIDA NIH HHS U01 DA040213NIMH NIH HHS K23 MH074716NIMH NIH HHS R01 MH074737NIMH NIH HHS R01 MH095750
6 · The paper itself

Abstract

backgroundPractitioner turnover in behavioral health settings is high and hinders the implementation of new interventions.

objectiveThis study examined practitioner and organizational characteristics that contribute to high staff turnover in community behavioral health settings. PARTICIPANTS AND

settingClinicians in nine community-based agencies participated. Included agencies treated a high volume of families referred from child welfare.

methodsThis study was part of a larger trial testing the effectiveness of a Cognitive Behavior Therapy for family conflict. Authors assessed predictors of turnover quantitatively and qualitatively. Quantitative data was collected prospectively (n = 169) on practitioner and organizational-level variables (e.g., demographics, professional practice, job satisfaction, emotional exhaustion, organizational commitment). Semi-structured interviews with practitioners who left their agencies (n = 40) provided qualitative data retrospectively.

resultsForth-five percent of practitioners left their agencies over three years. Two predictors of final survival status (lower age and lower job satisfaction) were associated with leaving the agency at the p < .05 level; however, they accounted for very little variance. Qualitative themes highlighted the importance of job characteristics, compensation, productivity requirements, advancement opportunities, and co-worker relationships as influential in the decision to leave.

conclusionsThis study highlights the value of a mixed-method approach given that themes emerged from the qualitative interviews that were not accounted for in the quantitative results. Additional research is needed to better understand workforce turnover so that strategies can be developed to stabilize the behavioral health workforce.

Indexed as

AdultFemaleHealth WorkforceHumansMalePersonnel TurnoverPublic HealthRetrospective StudiesEvidence-based treatmentsImplementationWorkforce turnover

Identifiers

PMID32088538
PMCPMC8699177
OpenAlexW3006716143

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.